The 
EPC
APPLICATION
to sit for the
Exercise Physiologist Certified
EXAM

American Society of Exercise Physiologists
Board of Certification

 

INSTRUCTIONS TO CANDIDATES

1.  The examination application must be complete at the time of application. 
2.  If you are a member of ASEP, your check for $300 must be made payable to ASEP.
3.  If you are not a member of ASEP, your check of $425 (Certified Professional Membership is $125) must be made payable to ASEP.
4.  Please enclosed the check with the completed application.
3.  Official transcript(s) must be enclosed with the application.  

PICTURE I.D. CARD

You must present proof of identify (e.g., driver's license or birth certificate with picture I.D.) to sit for the examination.  
Note: This requirement is met at the time and place of the designated exam date and site selection.  

REVIEW OF APPLICATIONS

After a complete set of documents has been received, candidates will be notified in writing of the Boards' determination to sit for the exam.  Note: Falsified documents, fraud, or misrepresentaion of identity at the exam will result in expulsion from ASEP and forfeiture of EPC status.

 

The 
"Exercise Physiologist Certified"
(EPC) Application

SECTION #1

Personal Information: Print or type your full name as you wish it to appear on all ASEP documents and correspondence.  Print or type your full mailing address where you want your score report, admission ticket, and all other ASEP correspondence to be sent. Note: It is your responsibility to notify our office of an address change by submitting in writing the new address.

Name Last ____________________________First __________________Initial ______

Mailing Adress Street ___________________________City___________________State____Zip______

Social Security Number:________-______-________

Date of Birth: ________________________________

Day Telephone Number: (______)________________


SECTION #2

Membership Information: Please indicate if you are an ASEP member.

Are you a member of ASEP?   Yes       No     (Circle one)

Note: If you are not an ASEP member, you must include the $75 membership fee with the submission of the EPC Certification Application.  
 


SECTION #3

Academic Information: If you have already graduated at the time of application, complete Section #3 of the application and enclose an OFFICIAL transcript listing of degree and graduation date.  If the official transcript must be forwarded to us separately from the school, you MUST enclose an unofficial transcript with your application.  Note:  If you enclose an unofficial transcript with your application, you are required to forward an official transcript in order to complete your file.

List below all colleges or universities you have attended, including dates attended and degrees received.

Institution Attended          Dates Attended         Date Degree Received

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________
 
 

SECTION #4

Academic Course Work:  Enclose transcripts for all colleges and universities attended.  Highlight the ASEP-required courses on the transcripts. Note: In addition to the highlighted courses on the transcript, list the ASEP-required course work in the spaces below.  Each course must be listed on the transcripts. 

Course                                  Catalog #       Course Title

Exercise physiology              ________      _______________________________

Cardiac rehabilitation             ________      ________________________________

Exercise metabolism              ________      ________________________________

Kinesiology                                ________      ________________________________

Research design                     ________      ________________________________

Sports biomechanics             ________      ________________________________

Environmental physiology    ________      ________________________________

Sports nutrition                        __________      _________________________________________

Note: Refer to the EPC Guide, Step 1- for course title comparisons.
 
 

SECTION #5

Confidential PropertyAll ASEP examination materials are the confidential property of ASEP and any request to review materials will be denied. You have read, understand, and agree to the ASEP Confidential Property statement.

Yes      No     (Circle one)

Please read and write in your full name in the blank within the paragraph, at the bottom of the paragraph and, then, date the submission of the application 
 

I, _____________________________, make this application for bona fide certification purposes only and will not disclose any information regarding the content of the examination, test questions, or test materials of any kind.  I authorize ASEP to communicate the outcome of my examine score to any and all public sector authorities, employers, and others (as it relates specifically to the use of the title: Exercise Physiologist Certified).  I consent to and authorize ASEP to request information relevant to this application and my eligibility, certification, recertification, and review of certification and for any entity to furnish this information to ASEP.  I hereby release, discharge, and exonerate ASEP, its officers, directors, employees, committee members, agents, and any person furnishing documents, records, and other information relating to my eligibility, recertification, or review of certification, from any and all liability of any nature and kind arising out of the furnishing or inspection of all documents, records, and other information and any investigation and evaluation by ASEP.

 

______________________________   __________
Candidate Signature                        Date
 
 




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American Society of Exercise Physiologists
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